Roger L Land MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD21156 Issued in TN

Legal business name

ROGER L LAND MD PC

Practice address

2051B Hamill Rd
Suite101
Hixson, TN 37343-4085

Phone

(423) 870-4435

Fax

(423) 870-4685

NPI assigned

Jan 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Lynn Land, MDNPI 1710950928

Title

President

Phone

(423) 870-4435

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Lynn Land, M.D.

  • Specialist
  • Hixson, TN
  • NPI 1710950928
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1003966656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051B HAMILL RD",
            "address_2": "SUITE101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434085",
            "telephone_number": "423-870-4435",
            "fax_number": "423-870-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051B HAMILL RD",
            "address_2": "SUITE101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434085",
            "telephone_number": "423-870-4435",
            "fax_number": "423-870-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L LAND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-870-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD21156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058053",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OT TN",
            "identifier": "4012527",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sage Dental of Hixson, PLLC
• Elmira Faller Sager, NP-C

• Surgery Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.